Loose bowel movements in toddler may not be cause for alarm

Posted by: drmolly in diarrheabowel movement on Print PDF

Let's face it, poop is gross. No doubt about that. Yet parents are subjected to changing diapers for years and as a result scrutinize their child's bowel movements and ask a truckload of questions about variations. Some parents understand that seeing corn kernels come out whole in their 2-year-old's poop isn't surprising and that blueberries will seriously change the color of the stool, but all parents worry about loose bowel movements and what they might mean.

When babies are really young and only getting breast milk or formula, bowel movements are usually yellow with little "seeds" in them. It could be more soupy or watery and the frequency by about a month of age should be less than six times a day. Once food is added to the baby's diet, poop will change in color, consistency and frequency, but should still be easy to pass and relatively loose, not more formed than play dough and not so watery that all of it gets absorbed into the diaper. Frequency stays the same until babies are off the bottle and baby food and drinking cow's milk and eating all table foods, then a normal frequency is up to four times a day and consistency should still be soft most of the time but some formed "adult" stools are more common at this age.

By the time kids are 2 years old, parents really know their child's poop pattern and often kids are pretty predictable at least with the time of day that they have their bowel movements. If this pattern changes, especially if toddlers start having loose stools again, parents get concerned.

Toddlers aren't exactly known for their great appetites and broad palates and sometimes if toddlers are in a low eating phase and parents have switched to nonfat milk, toddlers may not have enough fat in their diets to make a good formed stool. This is called toddler's diarrhea, but really isn't diarrhea at all but rather just loose bowel movements. When the consistency changes but the frequency is still normal, this is most likely due to lower fat content in a toddler's diet. The other hallmark of toddler's diarrhea is that the toddler doesn't seem sick at all and is still eating as well or as poorly as ever and yet still gains weight appropriately. Diarrhea caused by something worrisome like the stomach flu or food allergy will not be looking or acting well and often they will be losing weight.

Most of the time, a quick hop on the scale at home will confirm that your toddler's weight is fine and if she is running around, laughing, playing, eating, sleeping and occasionally driving you crazy, chances are you have nothing to worry about. Concentrate a bit on increasing the fat in your toddler's diet either by changing to 2 percent milk or adding olive oil to things like pasta and rice and the stool may improve. Even if you do nothing, this seems to be a self-limited condition and within six-eight weeks the bowel movements are back to normal.

Sometimes toddler's diarrhea happens at the same time as potty training, but it won't make the process any easier or harder so if you child is ready to potty train go for it!


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